NPIMap

Organization Active NPI

Fox Valley Speech & Swallowing Center

  • Hearing and Speech Clinic/Center
  • Aurora, IL
National Provider Identifier
1851558647
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
146000184 Issued in IL
Legal business name
FOX VALLEY SPEECH & SWALLOWING CENTER
Practice address
4255 Westbrook Dr
Suite 208
Aurora, IL 60504-8125
Phone
(630) 898-2823
Fax
(630) 898-8423
NPI assigned
May 20, 2008
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celeste R Kobulnicky, MS CCCNPI 1134178528
Title
Speech Language Pathologist
Phone
(630) 898-2823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 146000184 IL Primary

Addresses

Primary practice location

4255 Westbrook Dr
Suite 208
Aurora, IL 60504-8125

Mailing address

4255 Westbrook Dr
Suite 208
Aurora, IL 60504-8125
Phone (630) 898-2823

National Provider Directory

National Provider Directory

Locations

4255 Westbrook Dr
Ste 208
Aurora, IL 60504
Phone (630) 585-9912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1851558647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 WESTBROOK DR",
            "address_2": "SUITE 208",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048125",
            "telephone_number": "630-898-2823",
            "fax_number": "630-898-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WESTBROOK DR",
            "address_2": "SUITE 208",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048125",
            "telephone_number": "630-898-2823",
            "fax_number": "630-898-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY SPEECH & SWALLOWING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "KOBULNICKY",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "630-898-2823",
        "authorized_official_credential": "MS CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IL",
            "license": "146000184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.